NPI: 1427462803 · MACEDONIA, OH 44056 · Dentist · NPI assigned 06/13/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 50 | $2K |
| 2019 | 12 | $316.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 25 | 25 | $700.93 |
| D0330 | Panoramic radiographic image | 12 | 12 | $625.32 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $280.02 |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $249.37 |